| Greater Boston Counseling Associates ,llc | |
|
124 Harvard St Brookline MA 02446-6478 | |
| (617) 448-9311 | |
| (617) 448-9311 |
| Full Name | Greater Boston Counseling Associates ,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 Harvard St, Brookline, Massachusetts |
| Authorized Official Name and Position | Francine E. Mermelstein (PRESIDENT) |
| Authorized Official Contact | 6179698694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Boston Counseling Associates ,llc 21 Walnut Pl Newton MA 02461-1716 Ph: (617) 969-8694 | Greater Boston Counseling Associates ,llc 124 Harvard St Brookline MA 02446-6478 Ph: (617) 448-9311 |
| NPI Number | 1750895124 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 11/21/2017 |
| Medicare PECOS PAC ID | 8729326509 |
|---|---|
| Medicare Enrollment ID | O20190221000973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750895124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Bruce L Mermelstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285674184 PECOS PAC ID: 4486638772 Enrollment ID: I20040615000790 |
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